CN103118598A - Ultrasound diagnosis device, ultrasound image display device, and ultrasound image display method - Google Patents

Ultrasound diagnosis device, ultrasound image display device, and ultrasound image display method Download PDF

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CN103118598A
CN103118598A CN2012800013176A CN201280001317A CN103118598A CN 103118598 A CN103118598 A CN 103118598A CN 2012800013176 A CN2012800013176 A CN 2012800013176A CN 201280001317 A CN201280001317 A CN 201280001317A CN 103118598 A CN103118598 A CN 103118598A
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mentioned
auxiliary information
diagnosis auxiliary
ultrasonography
diagnostic ultrasound
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CN103118598B (en
Inventor
樋口治郎
大贯真人
西野正敏
中岛修
星野伸一
藤井友和
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Canon Medical Systems Corp
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Toshiba Corp
Toshiba Medical Systems Corp
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B8/00Diagnosis using ultrasonic, sonic or infrasonic waves
    • A61B8/13Tomography
    • A61B8/14Echo-tomography
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B8/00Diagnosis using ultrasonic, sonic or infrasonic waves
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B8/00Diagnosis using ultrasonic, sonic or infrasonic waves
    • A61B8/06Measuring blood flow
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B8/00Diagnosis using ultrasonic, sonic or infrasonic waves
    • A61B8/08Detecting organic movements or changes, e.g. tumours, cysts, swellings
    • A61B8/0883Detecting organic movements or changes, e.g. tumours, cysts, swellings for diagnosis of the heart
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B8/00Diagnosis using ultrasonic, sonic or infrasonic waves
    • A61B8/46Ultrasonic, sonic or infrasonic diagnostic devices with special arrangements for interfacing with the operator or the patient
    • A61B8/461Displaying means of special interest
    • A61B8/462Displaying means of special interest characterised by constructional features of the display
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B8/00Diagnosis using ultrasonic, sonic or infrasonic waves
    • A61B8/46Ultrasonic, sonic or infrasonic diagnostic devices with special arrangements for interfacing with the operator or the patient
    • A61B8/461Displaying means of special interest
    • A61B8/463Displaying means of special interest characterised by displaying multiple images or images and diagnostic data on one display
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B8/00Diagnosis using ultrasonic, sonic or infrasonic waves
    • A61B8/46Ultrasonic, sonic or infrasonic diagnostic devices with special arrangements for interfacing with the operator or the patient
    • A61B8/461Displaying means of special interest
    • A61B8/465Displaying means of special interest adapted to display user selection data, e.g. icons or menus
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B8/00Diagnosis using ultrasonic, sonic or infrasonic waves
    • A61B8/52Devices using data or image processing specially adapted for diagnosis using ultrasonic, sonic or infrasonic waves
    • A61B8/5207Devices using data or image processing specially adapted for diagnosis using ultrasonic, sonic or infrasonic waves involving processing of raw data to produce diagnostic data, e.g. for generating an image
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B8/00Diagnosis using ultrasonic, sonic or infrasonic waves
    • A61B8/54Control of the diagnostic device
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B8/00Diagnosis using ultrasonic, sonic or infrasonic waves
    • A61B8/48Diagnostic techniques
    • A61B8/485Diagnostic techniques involving measuring strain or elastic properties
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B8/00Diagnosis using ultrasonic, sonic or infrasonic waves
    • A61B8/48Diagnostic techniques
    • A61B8/488Diagnostic techniques involving Doppler signals

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Abstract

The present invention makes it possible to lighten the work burden of inputting diagnostic aid information. An interior storage unit (17) stores diagnostic aid information as well as the display position of the diagnostic aid information within a display region where an ultrasound image is displayed, in mutual association, for each of a plurality of test items. An image generation unit (14) generates an ultrasound image that pertains to a test item subject to scanning, on the basis of an echo signal from an ultrasound probe (1). A monitor (2) comprises the display region. A display control unit (16a) controls the monitor (2) so as to display specific diagnostic aid information associated with the test item subject to scanning from among the diagnostic aid information stored in the interior storage unit (17), at the specific display position associated with the specific diagnostic aid information.

Description

Diagnostic ultrasound equipment, ultrasonic image display apparatus and method
Technical field
Embodiments of the present invention relate to diagnostic ultrasound equipment, ultrasonic image display apparatus and ultrasonic image display method.
Background technology
Diagnostic ultrasound equipment is as having easy operability, not worrying to be used in the inspection of the various bio-tissues such as heart, liver, kidney, mammary gland by the medical diagnostic imaging apparatus of the advantages such as Non-Invasive of radiation in medical treatment of today.
Diagnostic ultrasound equipment sends ultrasound wave via ultrasound probe, and receives from the ultrasound wave (echo) of the interior tissue reflection of subject.Diagnostic ultrasound equipment as rest image or along the seasonal effect in time series dynamic image, generates the histological structure in the expression subject, the ultrasonography (B mode image, doppler image) of blood flow information according to the echo-signal from ultrasound probe.The ultrasonography that generates shows on monitor, and is stored in the storage mediums such as IC memorizer, photomagneto disk.
Carrying out ultrasonography when diagnosis, that carries out the current ultrasonography relevant with identical subject and ultrasonography in the past relatively reads sheet.
Comparing when readding sheet, doctor etc. read sheet person needs to observe the current ultrasonography that becomes diagnosis object and the ultrasonography that becomes the past of comparison other.The ultrasonography of object as a comparison is such as using the ultrasonography that the same area of liver etc. is taken.Retrieve the information that required ultrasonography uses as the person that reads the sheet from the ultrasonography in past, utilize people's body tag.So-called people's body tag is to represent that substantially ultrasound probe is with respect to the butt position of subject and the schematic diagram of butt direction (in other words being scanning position and scanning direction).People's body tag is set up relatedly with ultrasonography and is preserved.
When diagnostic ultrasound equipment shows on monitor at the ultrasonography in the past of will preserve, also show together with this ultrasonography and set up related people's body tag.The person that reads the sheet is when relatively readding ultrasonography that sheet uses and retrieve, and with reference to people's body tag, the shooting situation of shown ultrasonography is grasped on vision ground.
Sometimes carry out the inspection repeatedly (for example, undertaken by department of obstetrics and gynecology etc., repeatedly carry out the situation of identical inspection with time series) of same patient or with identical inspection agreement, different subjects checked.Need the diagnosis auxiliary information (character string, arrow, people's body tag and probe mark etc.) that shows in former subject or inspection is repeatedly inputted and shown to identical place.
The prior art document
Patent documentation
Patent documentation 1: TOHKEMY 2001-224596 communique
Summary of the invention
Invent technical problem to be solved
The purpose of present embodiment is, diagnostic ultrasound equipment, ultrasonic image display apparatus and the ultrasonic image display method of the homework burden that can reduce the input of diagnosis auxiliary information is provided.
The technological means that is used for the technical solution problem
The diagnostic ultrasound equipment of present embodiment possesses: storage part, for a plurality of inspection items each, set up the display position that stores accordingly diagnosis auxiliary information and the diagnosis auxiliary information in showing the viewing area of ultrasonography; Generating unit according to the echo-signal from ultrasound probe, generates the ultrasonography relevant with the inspection item of sweep object; Display part has the viewing area for diagnostic ultrasound equipment; And control part, control above-mentioned display part, make inspection item in the diagnosis auxiliary information that above-mentioned storage part is stored and above-mentioned sweep object set up related specific diagnosis auxiliary information, be presented at above-mentioned specific diagnosis auxiliary information and set up related specific display position.
The invention effect
Can reduce the homework burden of diagnosis auxiliary information input.
Description of drawings
Fig. 1 means the figure of structure of the diagnostic ultrasound equipment of present embodiment.
Fig. 2 means the flow chart of an example of check process of the diagnostic ultrasound equipment of present embodiment.
Fig. 3 A means the figure of an example of candidate display of diagnosis location information of same patient of the inspection agreement of present embodiment.
Fig. 3 B means the figure of an example of candidate display of diagnosis location information in past of the inspection agreement of present embodiment.
Fig. 4 means the figure of an example of details of indivedual inspections of the inspection agreement of present embodiment.
Fig. 5 means the figure of an example of demonstration of the diagnosis location information of present embodiment.
Fig. 6 A means the figure of an example of the overlapping demonstration of the diagnosis auxiliary information of present embodiment and ultrasonography.
Fig. 6 B means the figure of an example of demonstration of the diagnosis auxiliary information of Fig. 6 A.
The specific embodiment
Below, describe with reference to diagnostic ultrasound equipment, ultrasonic image display apparatus and the ultrasonic image display method of accompanying drawing to present embodiment.
At first, the structure of the diagnostic ultrasound equipment of present embodiment described.Fig. 1 is the figure for the structure of the diagnostic ultrasound equipment of explanation present embodiment.As shown in Figure 1, the diagnostic ultrasound equipment of present embodiment has ultrasound probe 1, monitor (display device) 2, input equipment 3 and apparatus main body 10.
Ultrasound probe 1 has a plurality of piezoelectric vibrators.A plurality of piezoelectric vibrators are accepted to send ultrasound wave from the driving signal of interior receiving and transmitting part 11 supplies of apparatus main body 10, and receive the ultrasound wave by subject P reflection, and the ultrasound wave that receives is transformed to the signal of telecommunication.In addition, ultrasound probe 1 possesses the matching layer that arranges in the place aheads of a plurality of piezoelectric vibrators and is used for preventing from a plurality of piezoelectric vibrators backing spare of propagate ultrasound waves rearward.
When sending ultrasound wave from ultrasound probe 1 to subject P, the ultrasound wave that sends is reflected one by one by the discontinuity surface of the acoustic impedance in the in-vivo tissue of subject P.Echo is received by a plurality of piezoelectric vibrators as echo-signal.The amplitude of the echo-signal that receives depends on acoustic impedance poor of the discontinuity surface of reflection supersonic wave.In addition, in the hyperacoustic situation of surface reflection by moving bodys such as the blood flow in mobile, heart wall, according to Doppler effect, its echo-signal depends on moving body with respect to the speed composition of ultrasound wave sending direction, and is subject to frequency shift (FS).
In addition, the scan mode of the ultrasound probe 1 of present embodiment can be both that the two-dimensional scan mode can be also the 3-D scanning mode.In the situation that the two-dimensional scan mode, ultrasound probe 1 is built-in with a plurality of piezoelectric vibrators that one dimension is arranged, and a plurality of piezoelectric vibrators by string scan two-dimensional scan face.Perhaps, in the situation that the two-dimensional scan mode, also can for, ultrasound probe 1 is built-in with a plurality of piezoelectric vibrators of two-dimensional arrangements, utilizes a plurality of piezoelectric vibrators of two-dimensional arrangements that two-dimensional scan face is scanned.The 3-D scanning mode of present embodiment can either be applied to the mechanical scanning mode also can be applied to the electron scanning mode.In the situation that the mechanical scanning mode, ultrasound probe 1 mechanically swings by a plurality of piezoelectric vibrators that make string, thus 3D region is scanned.In the situation that the electron scanning mode, ultrasound probe 1 scans 3D region by a plurality of piezoelectric vibrators of two-dimensional arrangements.
Input equipment 3 has the input equipments such as mouse, keyboard, button, panel-switch, touch instructions screen, foot switch, tracking ball.Input equipment 3 is accepted via the various setting requests of input equipment from the operator of diagnostic ultrasound equipment, and apparatus main body 10 is transmitted the various setting requests of accepting.For example, Image Saving request from the operator etc. is accepted in input equipment 3.In addition, the input of setting up corresponding diagnosis auxiliary information with ultrasonography is accepted in input equipment 3, the particularly input equipment relevant to present embodiment.In addition, about the diagnosis auxiliary information will after the detailed description.
Monitor 2 can show the GUI(Graphical User Interface that uses the input equipment 3 various setting requests of input for the operator: graphic user interface).In addition, monitor 2 shows the ultrasonography that is generated by apparatus main body 10, perhaps shows the diagnosis auxiliary information.For example, monitor 2 is according to the request from the operator, and the control according to diagnosis auxiliary information control part 16b shows the diagnosis auxiliary information that storage inside section 17 described later or external memory are stored.
Apparatus main body 10 works as the maincenter of diagnostic ultrasound equipment.As shown in Figure 1, apparatus main body 10 has receiving and transmitting part 11, B mode treatment section 12, doppler processing section 13, image production part 14, image storage 15, control part 16 and storage inside section 17.
Receiving and transmitting part 11 is supplied with to ultrasound probe 1 and is driven signal.Specifically, receiving and transmitting part 11 is in order to carry out transmission processing, and has not shown triggering for generating circuit, delay circuit and pulse-generator circuit etc.Pulse-generator circuit is with speed frequency (rate frequency) the frHz(cycle of regulation: 1/fr second), repeatedly produce to be used to form and send hyperacoustic speed pulse.Delay circuit applies the time delay corresponding with sending direction and transmission focal position according to channel to each speed pulse.The triggering for generating circuit applies the driving signal in the timing based on this speed pulse to ultrasound probe 2.By applying the driving signal, send and corresponding sending direction and send the relevant ultrasound wave transmission wave beam in focal position time delay from ultrasound probe 2.In other words, delay circuit is at random adjusted from the sending direction of piezoelectric vibrator face thus by changed the time delay that each speed pulse is given.
In addition, the echo-signal of 11 pairs of ultrasound probes of receiving and transmitting part, 1 reception is carried out various processing and is generated beam data.Specifically, receiving and transmitting part 11 has not shown amplifying circuit, A/D changer and adder etc. in order to carry out reception ﹠ disposal.Amplifying circuit according to channel to amplifying from the echo-signal of ultrasound probe 2.The A/D changer is implemented the A/D conversion to the echo-signal after amplifying.The echo-signal of adder to numeral receives the focal position at each and applies the needed time delay of beam direction that determines the ultrasound wave received beam, and will be endowed the echo-signal addition of time delay.Postpone addition by this, the reflex components from the direction corresponding with receiving directivity of echo-signal is emphasized, generates the beam data corresponding with the ultrasound wave received beam.
So, the transmission directivity in 11 pairs of hyperacoustic transmitting-receivings of receiving and transmitting part and reception directivity are controlled.In addition, receiving and transmitting part 11 can be with the function of the moments such as deferred message, transmission frequency, transmission driving voltage and open element number change and have by the control of control part 16 described later.In addition, receiving and transmitting part 11 can also send, receive different wave according to every 1 frame or every 1 speed.
12 pairs, B mode treatment section implements logarithmic amplifications, envelope detection processing etc. from the beam data of receiving and transmitting part 11, generates the B mode data that signal intensity is showed with the lightness of brightness.
13 pairs of beam data from receiving and transmitting part 11 of doppler processing section are implemented frequency resolution, extraction generates based on blood flow, tissue, the contrast agent echo composition of Doppler effect the doppler data that the mobile unit informations such as average speed, variance, power are showed with colour.
Image production part 14 is according to the B mode data from B mode treatment section 12, immediately generate (in real time) will reflect the B mode image that intensity of wave shows with brightness, and according to the doppler data from doppler processing section 13, immediately generate mobile unit information with the colored doppler image that shows.As doppler image, such as generating average speed image, variance image, power diagram picture etc.Below, with B mode image and the concentrated ultrasonography that is called of doppler image.
Image storage 15 is that storage is from the memorizer of the ultrasonography of image production part 14.Image storage 15 also can be arranged at via other storage devices of not shown network, can be also its both sides.
17 storages of storage inside section are for various data such as the control sequence that carries out ultrasonic transmission/reception, image processing and display process, diagnostic message, inspection agreements (inspection kind).In addition, storage inside section 17 also is used for the keeping etc. of the image of image storage 15 storages as required.In addition, the data of storage inside section 17 storages can transmit via the peripheral device of not shown interface circuit to the outside.
In addition, storage inside section 17 will diagnose auxiliary information to store with setting up relatedly at the display position that shows the diagnosis auxiliary information on the viewing area of ultrasonography for each of a plurality of inspection items.The diagnosis auxiliary information is the demonstration information of being attached to ultrasonography via input equipment 3 by the operator when the observation of ultrasonography.As the demonstration information of actual displayed for the diagnosis auxiliary information, specifically can enumerate at least one of labelling, figure, character and symbol.Serve as a mark, for example can enumerate people's body tag, probe mark.People's body tag, probe mark be ultrasound probe when substantially representing ultrasonic scanning to the butt position of subject and butt towards schematic diagram.In addition, as the diagnosis auxiliary information, can be also character string, figure, the symbol of review time, scanning position, expression scanner section bit position.Character string, figure, the symbol of expression scanner section bit position are called the look-out station configuration information.In addition, as the diagnosis auxiliary information, also can mean the character string, labelling, figure of instrumentation result etc.In addition, as the diagnosis auxiliary information, can be also character string, the arrow etc. arbitrarily that the operator uses the input such as keyboard.Inspection item comprises at least one of scanning position, image mode and display condition.As the scanning position that inspection item utilizes, can enumerate whole objects of observation of the ultrasound investigations such as heart, liver, stomach, hypogastric region, cervical region, fetus.As the image mode that inspection item utilizes, known have B pattern, doppler mode, elastogram pattern, shearing wave elastogram (shear wave elastography) pattern, a WMT(wall motion tracking: the wall motion tracking) pattern etc.As the display condition that inspection item utilizes, can enumerate pentrution (depth), gain etc.In addition, storage inside section 17 also can set up the diagnosis auxiliary information relatedly with patient information, operator message, check day etc. and store.As patient information, operator message, can enumerate name, ID etc.The display position of the diagnosis auxiliary information in showing the viewing area of ultrasonography specifically, is the displaing coordinate of the diagnosis auxiliary information on ultrasonography.
In addition, the diagnosis auxiliary information also can be registered as acquiescence in advance, also can newly be registered via input equipment 3 by the operator.In addition, the storage inside section 17 diagnosis auxiliary information that also can temporarily store the diagnosis auxiliary information that receives from external device (ED) via network and extract from the ultrasonography in past of the subject of being checked.Equally also storage and the diagnosis auxiliary information that checks that agreement (inspection kind) is corresponding.
The so-called agreement (inspection kind) that checks refers to comprise a series of inspection to the scanning at one or more scannings positions.This inspection agreement can also be called checks sequence.As checking agreement, such as having heart examination, epigastrium examination, blood vessel examination etc.The heart examination is for example a series of inspection that comprises the inspection of breastbone left hand edge major axis, the inspection of breastbone left hand edge minor axis, the inspection of apex major axis and the apex four chambeies a plurality of inspection items as inspection.At this, in breastbone left hand edge major axis checks, for example ultrasound probe 1 is approached from the breastbone left hand edge between third and fourth rib, observe paracone (AML), the Mitral valve metacone (PML) of position, wall motion and the Mitral valve (MV) of large artery trunks (AO), left atrium (LA), left ventricle (LV), the state of large artery trunks valve (AV).In breastbone left hand edge minor axis checks, for example check by making ultrasound probe 1 look like to turn clockwise 90 ° from breastbone left hand edge major axis.The inspection of apex major axis is, in include the left chamber major axis picture of the apex that can not approach in breastbone left hand edge major axis picture, be used for antetheca every the diagnosis of the ischemic heart desease of, rear wall, and, be suitable for the observation that left chamber flows into waveform, narrow blood flow in Doppler method.In apex four chamber pictures check, describe simultaneously the chambers of the heart of left and right look like the faultage image that ultrasound probe 1 is obtained to the clockwise direction half-twist from the apex major axis, in observing every with activity, Mitral valve, the Tricuspid valve of sidewall.In the situation that this inspection agreement generates ultrasonography for each inspection item.
Below, will check that the inspection corresponding with each inspection item that agreement comprises is called indivedual inspections.In this indivedual inspection, scan the position by sweep object, the ultrasonography that generation is relevant with this object scan position.
A plurality of indivedual inspections that the inspection agreement comprises are carried out with predetermined order.The diagnosis auxiliary information is set up related with each indivedual inspection.
The each several part of 16 pairs of diagnostic ultrasound equipments of control part is controlled.Specifically, control part 16 according to the operator via the various setting requests of input equipment 3 input or the various control sequences that read in of storage part 17 internally, receiving and transmitting part 11, B mode treatment section 12, doppler processing section 13 and image production part 14 are controlled, thus ultrasonography is generated to process and control.
As shown in Figure 1, control part 16 has display control unit 16a and diagnosis auxiliary information control part 16b.Display control unit 16a controls monitor 2, and various information are presented in monitor 2 set viewing area.For example, display control unit 16a will immediately be presented on monitor 2 by the ultrasonography that image production part 14 generates.In addition, display control unit 16a can also read the ultrasonography that image storage 15 or storage inside section 17 preserve, and the ultrasonography of reading is presented on monitor 2.
For example, the demonstration request that display control unit 16a shows take the ultrasonography of being selected by the operator of having accepted via input equipment 3 in the ultrasonography that inner storage part 17 is stored is as opportunity, with selected ultrasonography internally storage part 17 read and be presented on monitor 2.
Demonstration request as ultrasonography, in order immediately to show the ultrasonography relevant with the interior tissue of subject in scanning, existence show successively generate and be kept at ultrasonography in image storage 15 or storage inside section 17 by image production part 14 request situation, the ultrasonography that generated and be kept at the middle selection of the ultrasonography storage inside section 17 or external memory by image production part 14 from the past is shown the situation of request etc.
In addition, display control unit 16a is according to the indication of diagnosis auxiliary information control part 16b, control monitor 2, make in the diagnosis auxiliary information that storage inside section 17 is stored, set up related specific diagnosis auxiliary information with the inspection item of sweep object, be presented at and specific display position that this specific diagnosis auxiliary information foundation is related on.Set up the Displaying timer of related diagnosis auxiliary information with the inspection item of sweep object, can be before the demonstration of the ultrasonography relevant with the inspection item of sweep object, also can be in demonstration.In the situation that be in the demonstration of the ultrasonography relevant with the inspection item of sweep object, diagnosis auxiliary information and the ultrasonography overlapping demonstration relevant with the inspection item of sweep object.In the situation that before being the demonstration of the ultrasonography relevant with the inspection item of sweep object, the diagnosis auxiliary information shows separately.The inspection item of sweep object is for example selected by the operator via input equipment 3.In addition, check agreement in the situation that carry out, from a plurality of indivedual inspections that this inspection agreement comprises, automatically selected by diagnosis auxiliary information control part 16 according to checks sequence.In this case, preferred display control unit 16a shows the diagnosis auxiliary information in advance before indivedual enforcements that check.
In the situation that ultrasonography has been set up corresponding with the diagnosis auxiliary information, display control unit 16a is according to the control of diagnosis auxiliary information control part 16b, show the diagnosis auxiliary information together with ultrasonography, perhaps remove diagnosis auxiliary information and only show ultrasonography from the viewing area.
In the situation that selected the inspection agreement and inputted inspection via input equipment 3 by the operator to begin to indicate, display control unit 16a only will set up related diagnosis location information with indivedual inspections in advance and be presented on monitor 2 according to the order of indivedual inspections.
Specifically, the identical inspection agreement in the past of the identical inspection agreement in the past of the display control unit 16a subject that will check or other subjects carries out that thumbnail shows or guide look shows.Perhaps, display control unit 16a is presented in not shown external memory on storage inside section 17 or network the inspection agreement of registration in advance.In the situation that check according to the inspection agreement that accesses, diagnosis auxiliary information control part 16b is presented at the look-out station configuration information relevant with the scanning position in initial indivedual inspections on monitor 2 display control unit 16a indication.
Diagnosis auxiliary information control part 16b carries out the indication that shows about the diagnosis auxiliary information that storage inside section 17 or external memory are preserved together with ultrasonography to display control unit 16a.Specifically, indication is presented at the diagnosis auxiliary information via input equipment 3 appointments in the incidental diagnosis auxiliary information of ultrasonography on monitor 2 to display control unit 16a.For example, indication is controlled to be and only shows the look-out station configuration information or only show the indication tumor or be concerned about labelling or the character string of only display operation person input that the position is such or select wherein a plurality of demonstration.In addition, diagnosis auxiliary information control part 16b indicated number control part 16a reads with diagnosing auxiliary information and sets up related display position and correspondingly be presented on the monitor of actual diagnosis use with picture size.
Next, with reference to Fig. 1, Fig. 2, Fig. 3 A, Fig. 3 B, Fig. 4, Fig. 5, Fig. 6 A and Fig. 6 B, the action case of the diagnostic ultrasound equipment of present embodiment is described.That Fig. 2 means is that carry out under the control of control part 16, the flow chart of an example of the motion flow of diagnostic ultrasound equipment present embodiment.Fig. 3 A is the example of candidate display of diagnosis auxiliary information of same patient of the inspection agreement of present embodiment.Fig. 3 B is the example of candidate display of diagnosis auxiliary information in past of the inspection agreement of present embodiment.Fig. 4 is the example of details of indivedual inspections of the inspection agreement of present embodiment.Fig. 5 is the example of demonstration of the diagnosis auxiliary information of present embodiment.Fig. 6 A is an example of the overlapping demonstration of the diagnosis auxiliary information of present embodiment and ultrasonography.Fig. 6 B is the example of demonstration of the diagnosis auxiliary information of Fig. 6 A.In addition, below, with the operator by diagnostic ultrasound equipment, selecting a situation that checks agreement by the operator from a plurality of inspection agreements of identical inspection (such as the heart examination etc.) is that example describes.
In addition, in the following description, with the diagnosis auxiliary information be the look-out station configuration information, before scanning, the look-out station configuration information is presented on monitor 2 situation as an example.The diagnosis auxiliary information of display object can be selected via input equipment 3 in advance by the operator, can be also can change after beginning scanning.For example, also can be by the choosing/do not choose of check box, change demonstration/non-display.Thus, show by being defined in the diagnosis auxiliary information that needs, the visual identity raising on picture, checking becomes easily carries out.In addition, as shown in Fig. 6 B, display control unit 16a can also show the memorandum of observed result last time in advance, so that the operator can check that emphasis is concerned about the position when current scanning.For example, shown as shown in Fig. 6 B observed result memorandum, will be concerned about frame line that the position fences up etc.In addition, in the situation that the observation of meeting obstruction ultrasonography etc. can also be removed the memorandum of observed result from the viewing area.
In the present embodiment, as shown in Figure 2, display control unit 16a according to input by network in advance or the patient ID that inputs by input equipment 3, the inspection messages such as kind of inspection, at least one the inspection agreement in a plurality of inspection agreements is presented on monitor 2.The agreement (step S101) of using when the operator is chosen in actual the inspection via input equipment 3 from the shown inspection agreement of monitor 2.In addition, in the situation that shown inspection agreement is one, this inspection agreement can be selected, also can not select via input equipment 3 by the operator.In unselected situation, control part 16 automatically begins to check.In addition, also can be as shown in Figure 4, display control unit 16a shows the guide look of selected inspection agreement, and constitutes and can carry out rearranging of inspection item.The inspection agreement of having carried out rearranging is stored in storage inside section 17 or external memory.
When beginning with the inspection agreement that sets to check (step S102), diagnosis auxiliary information control part 16b confirms inner storage part 17 or external memory, whether records the look-out station configuration information (step S103) in past of the identical inspection agreement of same patient.In the situation that there is the look-out station configuration information in the past of identical inspection agreement, for example as Fig. 3 A, display control unit 16a shows the identifying information of these look-out station configuration informations in a view.In addition, display control unit 16a is Identification display information and show thumbnail as display mode not also, is used as the look-out station configuration information.In addition, in the situation that there are a plurality of look-out station configuration informations, as Fig. 3 A, also can show with the order of candidates that is dependent on certain condition a plurality of look-out station configuration informations.In the situation that Fig. 3 A, check day, nearest look-out station configuration information was shown as the first candidate.In other words, a plurality of look-out station configuration informations since check day nearer information show from the top successively.But a plurality of look-out station configuration informations also can show successively since check day information far away.Also can be according to the observation as a result the presence/absence of memorandum decide order of candidates.In this case, preferred display control unit 16a makes the look-out station configuration information that is associated with the observed result memorandum compare order of candidates with other look-out station configuration informations preferentially to show.In addition, the rule of preferred candidate order can be selected with input equipment 3 by the operator.
Selected look-out station configuration information is presented at (step S104) on monitor 2 by display control unit 16a.In addition, preferred display control unit 16a shows the look-out station configuration information during initial stage as shown in Figure 5 together with associated ultrasonography.In this case, preferred display control unit 16a from the demonstration constantly of ultrasonography and look-out station configuration information through after during certain, only ultrasonography is removed automatically from the viewing area of monitor 2.In this case, the look-out station configuration information is presented at the viewing area.In addition, ultrasonography automatically is removed after being not limited to as described above during process is certain, can be also to be designated as opportunity to have been inputted via input equipment 3 by the operator, is removed from the viewing area.Display control unit 16a shows look-out station configuration information and ultrasonography in the early stage the time, and only shows the look-out station configuration information in the early stage the time.In addition, as shown in Figure 5, display control unit 16a also can show the diagnosis auxiliary information of the generic name (such as apical four-chamber tangent plane (Apical four-chamber view)) of the image that will obtain after expression etc. together with the look-out station configuration information.In addition, these information are stored together with ultrasonography in advance.
In addition, in the situation that the multiplying power of the diagnosis location information of display object is different from the demonstration multiplying power of the ultrasonography that will obtain, display control unit 16a can according to the display position (coordinate) related with the foundation of diagnosis auxiliary information of display object, show the look-out station configuration information on identical anatomical position.
In addition, in the situation that there is the different look-out station configuration information of the checks sequence of identical indivedual inspections, display control unit 16a also can be rearranged for the checks sequence of the indivedual inspections under current inspection agreement, shows the look-out station configuration information.
Next, in (step S103), in the situation that there is not the look-out station configuration information in the past of same patient, diagnosis auxiliary information control part 16a is confirmed whether to store the look-out station configuration information (step S105) of other patients' identical inspection agreement to inner storage part 17 or external memory.In the situation that do not store the look-out station configuration information of other patients' identical inspection agreement, display control unit 16a is presented at (step S107) on monitor 2 with the look-out station configuration information of pre-stored acquiescence in storage inside section 17 or external memory.
In addition, as shown in Figure 5, preferred display control unit 16a in the early stage the time be endowed related ultrasonography and show together the look-out station configuration information.In this case, preferred display control unit 16a from the demonstration constantly of ultrasonography and look-out station configuration information through after during certain, only ultrasonography is automatically removed from the viewing area of monitor 2.In this case, the look-out station configuration information is presented at the viewing area.In addition, ultrasonography is not limited to as described above automatically to be removed after during certain, can be also to improve the operator to have inputted via input equipment 3 and be designated as opportunity, is removed from the viewing area.Display control unit 16a shows look-out station configuration information and ultrasonography in the early stage the time, and only shows the look-out station configuration information in the early stage the time.
In addition, storage inside section 17 sets up the look-out station configuration information that stores a plurality of acquiescences relatedly for each inspection item of a plurality of inspection items.In this case, diagnosis auxiliary information control part 16b selects the look-out station configuration information of best acquiescence according to the biological information of subject among the look-out station configuration information of a plurality of acquiescences.Such as the physique that can enumerate subject, age, sex etc. of biological information.Biological information and the look-out station configuration information of acquiescence are set up and are stored in storage inside section 17 relatedly.For example, diagnosis auxiliary information control part 16b selects to set up related look-out station configuration information with the biological information identical with the biological information of subject among the look-out station configuration information of a plurality of acquiescences.The look-out station configuration information of selected acquiescence is presented on monitor 2 by display control unit 16a.By showing the best look-out station configuration information of the biological information of subject, the butt position of the ultrasound probe 1 the when operator easily adjusts scanning thus and butt direction etc.
In addition, in the situation that store the different patients' relevant from identical inspection agreement look-out station configuration information, for example as shown in Fig. 3 B, display control unit 16a shows these different patients' look-out station configuration information.
The look-out station configuration information relevant with other patients' identical inspection agreement is presented at (step S106) on monitor 2 by display control unit 16a.In addition, as shown in Figure 5, preferred display control unit 16a in the early stage the time be endowed related ultrasonography and show together the look-out station configuration information.In this case, preferred display control unit 16a from the demonstration constantly of ultrasonography and look-out station configuration information through after during certain, only ultrasonography is automatically removed from the viewing area of monitor 2.In this case, the look-out station configuration information is presented at the viewing area.In addition, ultrasonography is automatically removed after being not limited to as described above during process is certain, can be also to have inputted the indication opportunity by the operator via input equipment 3, to have been removed from the viewing area.Display control unit 16a shows look-out station configuration information and ultrasonography in the early stage the time, and only shows the look-out station configuration information in the early stage the time.
When having shown the look-out station configuration information (step S04, S106, S107), 11 pairs of receiving and transmitting parts scan the position and scan (step S108).Image production part 14 is according to the echo signal form ultrasonography from ultrasound probe.According to the indication of operator via input equipment 3 input, each is checked individually showed the look-out station configuration information before ultrasonography, then, obtain and show and this relevant ultrasonography of inspection individually.Can grasp simply by show look-out station configuration information, operator before scanning angle, place that the ultrasound probe 1 of scanning next time contacts with subject.Thus, can prevent from carrying out scanning, the scanning leakage of error location.All indivedual scannings that check in the situation that be through with, control part 16 makes and checks end (step S109).
In addition, with the overlapping demonstration look-out station of ultrasonography configuration information the time, sometimes on the shown unsuitable position anatomically of look-out station configuration information.Can be that display control unit 16a changes the display position of look-out station configuration information according to the indication of operator via input equipment 3 inputs, or new look-out station configuration information is subsidiary to ultrasonography in this case.In addition, diagnosis auxiliary information and ultrasonography also can be stored in different layers in storage inside section 17.In this case, display control unit 16a can be presented at diagnosis auxiliary information and ultrasonography on monitor 2 respectively independently.For example, display control unit 16a can only be presented at the diagnosis auxiliary information on monitor 2.
For example, display control unit 16a can be such as shown in Figure 6A, respectively diagnoses auxiliary information to overlap onto on ultrasonography with surrounding the regional frame line of care, arrow, suggestion etc., also can as shown in Fig. 6 B, only show the diagnosis auxiliary information.In addition, frame lines, arrow, suggestion etc. that surround to be concerned about the zone respectively diagnose auxiliary information to be stored in different layers in storage inside section 17.Diagnosis auxiliary information control part 16b is according to the indication of operator via input equipment 3 inputs, can switch independently respectively the demonstration of respectively diagnosing auxiliary information/non-display.Thus, the information of real needs can be optionally shown by the operator, therefore the efficient of inspection can be further improved.
As described above, the diagnostic ultrasound equipment of present embodiment has storage inside section 17, image production part 14, monitor 2 and display control unit 16a.Storage inside section 17 is for each project of a plurality of inspection items, the display position of the diagnosis auxiliary information in diagnosis auxiliary information and viewing area set up relatedly stored.Image production part 14 bases are from the echo signal form of ultrasound probe 1 ultrasonography relevant with the inspection item of sweep object.Monitor 2 has the viewing area.Display control unit 16a controls monitor 2, make and in the diagnosis auxiliary information that storage inside section 17 is stored set up related specific diagnosis auxiliary information with inspection item sweep object, be presented at the specific display position related with specific diagnosis auxiliary information foundation of the viewing area of monitor 2.
By this structure, the diagnostic ultrasound equipment of present embodiment can re-use the diagnosis auxiliary information of registering in advance in current inspection.That is, the diagnostic ultrasound equipment of present embodiment before showing the ultrasonography relevant with the inspection item of sweep object, can be presented at diagnosis auxiliary information relevant with this inspection item and registration in advance on monitor 2.Therefore, the operator need to not begin from the basis can save the trouble of diagnosis auxiliary information input to the subsidiary diagnosis of ultrasonography auxiliary information when each the inspection.In addition, in the situation that a plurality of inspection items are carried out a plurality of inspections, the diagnostic ultrasound equipment of present embodiment was presented at the diagnosis auxiliary information of registering in advance on monitor 2 before showing the ultrasonography relevant with each inspection item.Thus, the checks sequence of a plurality of inspection items of the easy visuognosis of operator is difficult for producing undetected looking into.
In addition, according to present embodiment, the diagnosis auxiliary information of the ultrasonography by showing in advance a plurality of inspection items can check under the state of grasping the position that last time was presented observed result, therefore makes time shorten.
In a word, according to present embodiment, can reduce the homework burden of diagnosis auxiliary information input.
In addition, in the above description, diagnostic ultrasound equipment is understood present embodiment as an example.Yet, realize that the device of present embodiment not only is defined in diagnostic ultrasound equipment.For example, the apparatus main body 10 of Fig. 1 can be also and the diagnostic ultrasound equipment ultrasonic image display apparatus such as work station independently.This ultrasonic image display apparatus for example is connected with diagnostic ultrasound equipment via network, receives the ultrasonography that is generated by diagnostic ultrasound equipment via network.Thus, the ultrasonic image display apparatus of present embodiment can carry out the processing same with the diagnostic ultrasound equipment of above-mentioned present embodiment.
Several embodiments of the present invention are illustrated, but the only prompting as an example of these embodiments is not intended to limit scope of invention.These new embodiments can be implemented with other variety of ways, in the scope that does not break away from the invention aim, can carry out various omissions, displacement, change.These embodiments and distortion thereof are also contained in invention scope and aim thereof, and are included in the invention of putting down in writing with claims and in the scope that is equal to.
Description of reference numerals
1 ... ultrasound probe, 2 ... monitor, 3 ... input equipment, 10 ... apparatus main body, 11 ... receiving and transmitting part, 12 ... B mode treatment section, 13 ... doppler processing section, 14 ... image production part, 15 ... image storage, 16 ... control part, 16a ... display control unit, 16b ... diagnosis auxiliary information control part, 17 ... storage inside section

Claims (15)

1. diagnostic ultrasound equipment wherein, possesses:
Storage part for a plurality of inspection items each, is set up the display position that stores diagnosis auxiliary information and the diagnosis auxiliary information in showing the viewing area of ultrasonography relatedly;
Generating unit according to the echo-signal from ultrasound probe, generates the ultrasonography relevant with sweep object;
Display part has the viewing area for ultrasonography; And
Control part, control above-mentioned display part, make inspection item in the diagnosis auxiliary information that above-mentioned storage part is stored and above-mentioned sweep object set up related specific diagnosis auxiliary information, be presented at above-mentioned specific diagnosis auxiliary information and set up related specific display position.
2. diagnostic ultrasound equipment as described in right request 1, wherein,
Before the ultrasonography that shows above-mentioned generation, above-mentioned control part is presented at above-mentioned specific display position with above-mentioned specific diagnosis auxiliary information.
3. diagnostic ultrasound equipment as described in right request 1, wherein,
Above-mentioned display part immediately is presented at the ultrasonography of above-mentioned generation in above-mentioned viewing area,
Above-mentioned control part overlaps above-mentioned specific diagnosis auxiliary information on the ultrasonography of above-mentioned generation.
4. diagnostic ultrasound equipment as described in right request 1, wherein,
The inspection item of above-mentioned sweep object has a plurality of sub-inspection item that checks that agreement comprises,
Above-mentioned control part is controlled above-mentioned display part, make the checks sequence according to above-mentioned a plurality of sub-inspection items, will set up respectively related above-mentioned specific diagnosis auxiliary information with above-mentioned sub-inspection item successively and be presented at the display position related with above-mentioned specific diagnosis auxiliary information foundation.
5. diagnostic ultrasound equipment as described in right request 1, wherein,
Above-mentioned inspection item comprises at least one of scanning position, image mode and display condition.
6. diagnostic ultrasound equipment as described in right request 1, wherein,
Above-mentioned storage part is set up at least one in above-mentioned diagnosis auxiliary information and operator message and patient information relatedly and is stored.
7. diagnostic ultrasound equipment as described in right request 1, wherein,
Above-mentioned diagnosis auxiliary information comprises at least one of labelling, figure, character and symbol.
8. diagnostic ultrasound equipment as described in right request 1, wherein,
Above-mentioned specific diagnosis auxiliary information has a plurality of diagnosis auxiliary informations,
Above-mentioned control part shows above-mentioned a plurality of diagnosis auxiliary information according to the physique of subject, at least one in Age and sex.
9. diagnostic ultrasound equipment as described in right request 1, wherein,
Also possess selection portion, this selection portion is automatically selected the inspection item of above-mentioned sweep object according to from user's indication or according to checking agreement.
10. diagnostic ultrasound equipment as described in right request 1, wherein,
Also possess input part, this input part is used for according to the indication from the user, the ultrasonography subsidiary diagnosis auxiliary information shown to above-mentioned display part,
Above-mentioned storage part will mutually be set up relatedly via the ultrasonography of the display position of the subsidiary diagnosis auxiliary information of above-mentioned input part, above-mentioned subsidiary diagnosis auxiliary information and above-mentioned demonstration and store.
11. diagnostic ultrasound equipment as described in right request 1, wherein,
Above-mentioned diagnosis auxiliary information is set up relatedly with the ultrasonography that generates respectively for above-mentioned a plurality of inspection items and is stored.
12. diagnostic ultrasound equipment as described in right request 1, wherein,
Be stored together with the ultrasonography of above-mentioned diagnosis auxiliary information and each inspection item in the past of above-mentioned subject.
13. diagnostic ultrasound equipment as described in right request 1, wherein,
Above-mentioned diagnosis auxiliary information comprises the look-out station configuration information.
14. a ultrasonic image display apparatus wherein, possesses:
Storage part for a plurality of inspection items each, is set up the display position that stores diagnosis auxiliary information and the diagnosis auxiliary information in showing the viewing area of ultrasonography relatedly;
Display part has the viewing area for ultrasonography; And
Control part, control above-mentioned display part, make inspection item in the diagnosis auxiliary information that above-mentioned storage part is stored and above-mentioned sweep object set up related specific diagnosis auxiliary information, be presented at above-mentioned specific diagnosis auxiliary information and set up related specific display position.
15. the ultrasonic image display method of a diagnostic ultrasound equipment, this diagnostic ultrasound equipment has: display part has the viewing area for ultrasonography; And storage part, for a plurality of inspection items each, set up the display position that stores diagnosis auxiliary information and the diagnosis auxiliary information in showing the viewing area of ultrasonography relatedly, in this ultrasonic image display method:
Select the inspection item of sweep object;
In the diagnosis auxiliary information that above-mentioned storage part is stored set up related specific diagnosis auxiliary information with inspection item above-mentioned selection, be presented at the specific display position related with above-mentioned specific diagnosis auxiliary information foundation.
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